You may need to get blood tests to manage liver function during pregnancy: ALT, AFP, E antigen and antibody, and HBV DNA.
Also talk to a hepatologist to see if treatment is necessary.
Can I receive the hepatitis A and hepatitis B vaccines while I am pregnant?
The hepatitis B vaccine is safe to give to pregnant women who are at risk for hepatitis B and have tested negative for the virus.
The safety of the hepatitis A vaccine during pregnancy has not been determined. However, because the hepatitis A vaccine is produced from an inactivated virus, the theoretical risk to the developing fetus is expected to be low. If you are traveling to a country where hepatitis B is endemic (including many developing countries), you should talk to your doctor about hepatitis A vaccination. Otherwise, you should receive the hepatitis A vaccine (if you have not previously done so) after you give birth.
Avoid drinking alcohol.
Alcohol can accelerate damage to cirrhosis or liver failure and can compromise the development of your infant.
If you have any questions, call the Asian Liver Center at (650) 566-8818 or the Perinatal Hepatitis B Prevention Program (PHBPP) coordinator in your state.